,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #dhhb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #be1 #bjbc,mrs4 
,mill] ( ,we/ ,virg9ia introduc$ !      
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,ways & ,means1 & 9       
addition to ! ,committee on ,en]gy &    
,comm]ce1 = a p]iod to be subsequ5tly   
det]m9$ by ! ,speak]1 9 ea* case =      
consid]ation ( su* provisions z fall )9 
! jurisdiction ( ! committee conc]n$  ,a
 ,,bill  ,to am5d title ,,xviii ( !     
,social ,security ,act to promote       
laboratory price transp>5cy "u ! ,m$ic>e
 program4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,cl9ical ,laboratory ,price
 ,transp>5cy ,act ( #bjbc4  #b4 ,promot+
 laboratory price transp>5cy "u !       
,m$ic>e program ,"p ,e ( title ,,xviii (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciex et seq47 is am5d$ by add+ at !  
end ! foll[+ new section3  #ahii;,c4    
,laboratory price transp>5cy requirem5t 
7a7 ,9 g5]al ,beg9n+ ,janu>y #a1 #bjbe1 
ea* applicable laboratory t receives    

paym5t "u ?is title = furni%+ a specifi$
 cl9ical diagno/ic laboratory te/ %all--
 7#a7 make publicly available 79 a mann]
 & =m specifi$ by ! ,secret>y7 on an    
,int]net website ! in=mation describ$ 9 
subsection 7b7 ) respect to ea* su*     
specifi$ cl9ical diagno/ic laboratory   
te/ t su* laboratory is s available to  
furni%2 &  7#b7 ensure t su* in=mation  
is updat$ n less frequ5tly ?an annually4
  7b7 ,in=mation describ$ ,= purposes ( 
subsection 7a71 ! in=mation describ$ 9  
?is subsection is1 ) respect to an      
applicable laboratory & a specifi$      
cl9ical diagno/ic laboratory te/1 !     
foll[+3  7#a7 ,! disc\nt$ ca% price =   
su* te/ 7or1 if no su* price exi/s1 !   
gross *>ge = su* te/74  7#b7 ,if requir$
 by ! ,secret>y1 ! deid5tifi$ m9imum    
negotiat$ rate 9 effect betwe5 su*      
laboratory & any gr\p heal? plan or gr\p
 or individual heal? insurance cov]age =
 su* te/ & ! deid5tifi$ maximum         
negotiat$ rate 9 effect betwe5 su*      
laboratory & any su* plan or cov]age =  

su* te/4  7c7 ,me?od & =mat ,n lat] ?an 
,janu>y #a1 #bjbh1 ! ,secret>y %all     
e/abli% "o or m me?ods & =mats = ea*    
provid] ( s]vices & suppli] to use 9    
compil+ & mak+ public /&>d *>ges &      
prices 7z applicable7 pursuant to       
subsection 7a74 ,any su* me?od & =mat-- 
7#a7 may be simil> to any template made 
available by ! ,c5t]s = ,m$ic>e         
,m$icaid ,s]vices z ( ! date ( !        
enactm5t ( ?is subsection2  7#b7 %all   
meet su* /&>ds z det]m9$ appropriate by 
! ,secret>y 9 ord] to ensure !          
accessibility & usability ( su* *>ges & 
prices2 &  7#c7 %all be updat$ z det]m9$
 appropriate by ! ,secret>y1 9          
consultation ) /akehold]s4  7d7         
,monitor+ compliance ,! ,secret>y %all1 
?r\gh notice & comm5t rulemak+ & 9      
consultation ) ! ,inspector ,g5]al ( !  
,dep>tm5t ( ,heal? & ,human ,s]vices1   
e/abli% a process to monitor compliance 
) ?is section4  7e7 ,en=cem5t  7#a7 ,9  
g5]al ,9 ! case t ! ,secret>y det]m9es t
 an applicable laboratory is n 9        

compliance ) subsection 7a7--  7,a7 n   
lat] ?an #cj days aft] su* det]m9ation1 
! ,secret>y %all notify su* laboratory (
 su* det]m9ation2  7,b7 ^u reque/ ( !   
,secret>y1 su* laboratory %all submit to
 ! ,secret>y1 n lat] ?an #de days aft]  
su* reque/ is s5t1 a corrective action  
plan to comply ) su* subsection2 &  7,c7
 if su* laboratory cont9ues to fail to  
comply ) su* p>agraph aft] ! date t is  
#ij days aft] su* notification is s5t   
7or1 9 ! case ( su* a laboratory t has  
submitt$ a corrective action plan       
describ$ 9 subp>agraph 7,b7 9 response  
to a reque/ s describ$1 aft] ! date t is
 #ij days aft] su* submission71 !       
,secret>y may impose a civil monet>y    
p5alty 9 an am\nt n to exce$ #cjj = ea* 
subsequ5t day dur+ :i* su* failure to   
comply is ongo+4  7#b7 ,increase        
au?ority ,9 apply+ ?is p>agraph )       
respect to violations occurr+ 9 #bjbg or
 a subsequ5t ye>1 ! ,secret>y may ?r\gh 
notice & comm5t rulemak+ increase !     
am\nt ( ! civil monet>y p5alty "u       

p>agraph 7#a77;,c74  7#c7 ,application (
 c]ta9 provisions ,! provisions (       
section #aabh;,a 7o!r ?an subsections   
7a7 & 7b7 ( su* section7 %all apply to a
 civil monet>y p5alty impos$ "u ?is     
subsection 9 ! same mann] z su*         
provisions apply to a civil monet>y     
p5alty impos$ "u subsection 7a7 ( su*   
section4  7#d7 ,au?ority to waive or    
r$uce p5alty ,! ,secret>y may waive or  
r$uce any p5alty o!rwise applicable )   
respect to an applicable laboratory "u  
?is p>agraph if ! ,secret>y det]m9es t  
imposition ( su* p5alty w\ld result 9 a 
significant h>d%ip = su* laboratory 7su*
 z 9 ! case ( an applicable laboratory  
locat$ 9 a rural or und]s]v$ area :]e   
imposition ( su* p5alty may result 91 or
 contribute to1 a lack ( access to c>e =
 individuals 9 su* area74  7#e7         
,cl>ification ( nonapplicability ( o!r  
en=cem5t provisions ,not)/&+ any o!r    
provision ( ?is title1 ?is subsection   
%all be ! sole means ( en=c+ !          
provisions ( ?is section4  7f7          

,def9itions ,9 ?is section3  7#a7       
,applicable laboratory ,! t]m applicable
 laboratory has ! mean+ giv5 su* t]m 9  
section #dad4ejb1 ( title #db1 ,code (  
,f$]al ,regulations 7or any successor   
regulation74  7#b7 ,gr\p heal? plan2    
gr\p heal? insurance cov]age2 individual
 heal? insurance cov]age ,! t]ms gr\p   
heal? plan1 gr\p heal? insurance        
cov]age1 & individual heal? insurance   
cov]age h ! mean+ giv5 su* t]ms 9       
section #bgia ( ! ,public ,heal? ,s]vice
 ,act4  7#c7 ,specifi$ cl9ical diagno/ic
 laboratory te/ ,! t]m specifi$ cl9ical 
diagno/ic laboratory te/ means a cl9ical
 diagno/ic laboratory te/ t is includ$  
on ! li/ ( %oppable s]vices specifi$ by 
! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices   
pursuant to section #ahj4fj ( title #de1
 ,code ( ,f$]al ,regulations 7or a      
successor regulation71 o!r ?an su* a te/
 t is an advanc$ diagno/ic laboratory   
te/ 7z def9$ 9 section #ahcd;,a7d77#e774
  4